Loading...
HomeMy WebLinkAbout1006 S Lincoln St - Building 0i,r� r.}:'. �R V CITY OF PORT ANGELES,PERMIT AF'LICA.TICON � � Building Oivisian/Electrical Irrspectiolots I ""- 321 East Fifth Strreet-1P.0..�'iOX 1150/Pori Angeles Washington,98362 2 9N �'"------�" Ph: (360)41'7-4735)"ax: (360)417-471 J. ,G I�r IIIs`l�l. Dat0: dZ f &2 Single Family Dwelling *Plan Review May Be Required,Please Complete Electrical Plan Review,information She pt 9uilding Square Fool2ge: Descriptlon of above Owner Into anon Contractor Information Name:��� i.I� Meiling Add sa: ®f "T'" Name; City: 6 gZrp: Mailing ddress; �►g� c t0 _ Phone, Fax: C' State; 71p: � i,lcense#!l2xp. Ucense#/t_xp. b► 1�5 Item U d/s,,��,r•,,��e i ph9w 9150 Tofal Merfti If l U itCha�e SANIC011' der 200 Amp, $120.00 $ Service1raeder 201400 Amp. $146.00 — -" SeNce/Feeder401-600 Amp $205.00 ` Servicn/Feeder 601-1000 Amp, $262.00 $----�-� 5ernice/Feeder over 1000 Amp. $373.00 Branch Circuit W/Service Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 63,00 Bach Addironal Branch Circuit $ 5.00 Branch Circults 14 $ 75.00 Temp.Service/Feeder 200 Amp, $ 93.00 — _ $- O b Temp,Senrice/Faeder 201-400 Amp, $110.00 $- Temp.SeMcwFeeder401.600 Amp. $149.00 Tome.Servicell=eeder601-1000 Amp $168,Q0 �-- Portal to Portal Hourly $ 96.00 ""` $ ----� Signal Circu4!Llmk,d Energy-18,2 Family Dwelling $ 64,00 — Manufactured Home Conneclion $120.00 $- Renowable Elechiml Energy-6KVA System or Less $102,00 --- Thermostat $ $6,00 --- Note;$$.00 for each additional T-Slat N CONS Rq ION ONLY; First 1300 Square Ft, $120.00 Each Additional 500 Square Ft.or Portion of $ 4U0 Each Outbuilding or Detached Garage $ 74.00 Each Swlrnming Poai or Hot Tub $110.00 - $._�_.�Tt�tal Owner as defined by RCW,19,2$,261:(1)Owner will occupy the structure for two years after this electrical permit is finalized, 01 mer is required to hire an electrical contractor N above said property is for sale,rant or lease,Permit expires after six Months of last lnspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical Coniracl or.I am making the electrical installation or alteration In compliance with the electrical laws,N.E.C,,RCUU,Chapter 19.28,WAC.Chapler 296-463,'Ile City of Port Angeles Municipal Cade,and Utility Specifications and PAMC%05.050 regarding Electrical PermitApplfcalians. ftnat o owner,electrical contract or electrical administrator: D Cash 0 creek /' ' � Cmdlf Card [ Z"T+ ✓►rlJKed:=„�� / , �.� 011A112ta12 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000365 Date 3/25/14 Application pin number 025035 Property Address . , 1006 S LINCOLN ST DEPORT SALES TAX ASSESSOR PARCEL NUMBERi 06-30-00-0-3-2800-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . , . . . to the City of Port Angeles Property Use Property Zoning . . , , , . . RS? RE'SDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . , 0 Application desc Boiler replacement _--_---------------------------------------------------------------- -------- Owner Contractor ROBERT AND SANICE HARBICK SIMPSON ELECTRIC 1006 S LINCOLN ST 243036 W HWY 1Q1 PORT ANGELES WA 983627826 PORT ANGELES WA 98363 (360) 457-9270 ------------------------------------------------------------------------. .__ V Permit , . . . . , ELECTRICAL ALTER RESIDENTIAL + Additional desc 1-4 CIRCUITS Q9 Permit Fee 75,00 Plan Check Fee 00 Issue Date 3/25/14 Valuation 0 Expiration Date 9/21/14 Qty Unit Charge Per Extension BASE FEE 75,00 - - ----- - -- ^^^-^Fee summary Charged P ^ f`^ f --- - --------- aidCredited Due Permit Fee Total 75,00 75.OD '00 .00 Plan Check Total ,00 00 ,00 .00 Grand Total 75.00 75,OD .00 .00 ti.. INSPECTION TYPE DA'T'E: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN t FINAL [ COMMENTS: PERMIT WILL.EXPME SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000488 Date 5/19/11 Application pin number 541096 Property Address 1006 S LINCOLN ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 2800 -0000- Tenant nbr, name ROBERT JANICE HARBICK on your state excise tax form Application type description RE -ROOF Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6290 Application desc TEAR OFF RE -ROOF THE HOUSE Owner Contractor ROBERT AND JANICE HARBICK AFFORDABLE SERVICES 1006 S LINCOLN ST 258663 HWY 101 WEST PORT ANGELES WA 983627826 SEQUIM WA 98382 (360) 683 -9619 Structure Information 000 000 RE -ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE Permit pin number 185991 Permit Fee 165.75 Plan Check Fee .00 Issue Date 5/19/11 Valuation 6290 Expiration Date 11/15/11 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00 Other Fees STATE SURCHARGE 4.50 q tX Fee summary Charged Paid Credited Due 1V1\tJ� Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 5-0-1( 3GLI� 14-('_/\u. l av iI Date Print Name Signature of Contra tor o uthorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) C Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: t/ Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) 1 T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: r_ Heat Pump Furnace FAU Ducts S Rough -In Gas Line /1 Wood Stove Pellet Chimney V J Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 p Building 417 -4815 i -2 -1 k r V T:Forms /Building Division /Building Permit L-- H H i 0 H W w 4 H as q m 0, m M m w 1� V n F O O G O m a a a a w w a ax w F H 0 m H w w w H H q 2 z x w m w ro 0 0 0 N F w w x W 5 0 0 N 0 H H VI LL W N a Z F h m 2 H[ 0 z•• w 0 a O N H 0 H F H F N u z O a F w w N a s Z as mwz w cnm 000 d'SH 0 z H 000 H 0 00 w 0 F 2 w 0 u a a VI H NNaz U a aa 0) aq ua 0 Q oo Zulu) 0 a 0 z 0 0 V] S o 0 E- H00w0 H m H u o a N zu A E. i a H w 4 a a V) .7 Vl 0 7. cn h e H w a N l b w (a o m z a h H a d a 0 0 0 q V] o o .7 Hw io00w o W E. W H H 0 w W V)w mi l. 00000,01 041 a N N i.( 010<0001 O a CL 0 �F p, 0 0 H a a a O a u H H O W a W Z 2 0 W CO F a 0 2 a 2 F d o a r a w z H u a m a 4HUOaa a H m w BUILDING PERMIT APPLICATION Print in ink A"'',� CITY OF PORT ANGELES For City Use Only: N Attn: Building Permit Technician Date Received 5 I 1.--t( 321 E. Fifth St., Port Angeles, WA 98362 Permit n g O (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant A Ir''a.. r s Ji.' S Phone Property Owner rte) K-.}- Flay b Phone Hsi- t Property Owner's Address too s_ RA-1 Contractor L g,yh(e 6 tr S Phone 540l (p> gl o jcf Contractor's Address ZS-, sa -A, _iii IG i License ,q- ne,c 3 Expires 0 "z_ E-mail ge. i h 1 m 5l kaiA PROJECT ADDRESS 106(p S a5e 6 1 Parcel Number (lp C�Y,O Z4 Lot Zoning Project Type Brief Description: )esidential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition II-Be-roof *House garage other 74ear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Lp 2..RO Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on rojects. Date 5 Print Name V �2' A�,i' Qfrk Signature T:Forms /Building Division/Bldg Permit.doc Clallam County Assessor Treasurer Property Details 59284 ROBERT AND JANIC... Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 59284 ROBERT AND JANICE HARBICK for Year 2011 2012 I Property Account Property ID: 59284 Legal Description: LOTS 1 &2 &E 29 1/2' LT3 BL 328 Geographic ID: 0630000328000000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: b Location Address: 1006 S LINCOLN ST Mapsco: PORT ANGELES, WA 98362 `v Neighborhood: Cycle 5 Res Map ID: 2 A0 Neighborhood CD: 10955130 n Owner V Name: ROBERT AND JANICE HARBICK Owner ID: 29035 S c Mailing Address: 1006 S LINCOLN ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 -7826 Exemptions: j Taxes and Assessment Details Property Tax Information as of 05/19/2011 Amount Due if Paid on: E. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second Half Half Base Base i Year Statement ID' Taxing Jurisdiction Amt. Amt. Penalty Interest' Base Paid 'Amount Due 2011 153898 ST SCH STATE SCHOOL $415.47 $415.47 $0.00 $0.00 $415.47 $415.47 2011 153898 CC -GEN COUNTY CLALLAM $229.36 $229.35 $0.00 $0.00 $229.36 $229.35 2011 153898 SD #121 SCHOOL DISTRICT #121 $543.09 $543.09 $0.00 $0.00 $543.09 $543.09 2011 153898 CITY PORT ANG CITY OF PORT ANGELES $529.49 $529.48 $0.00 $0.00 $529.49 $529.48 2011 153898 PORT PORT OF PORT ANGELES $32:28 $32.28 $0.00 $0.00 $32.28 $32.28 2011 153898 NTH OLY LIB NORTH OLYMPIC LIBRARY $96.19 $96.19 $0.00 $0.00 $96.19 $96.19 2011 153898 HOSP #2 HOSPITAL #2 $94.15 $94.15 $0.00 $0.00 $94.15 $94.15 4 2011 153898 WSMET PK DIST WILLIAM SHORE MET PARK DIST $28.62 $28.62 $0.00 $0.00 $28.62 $28.62 2011 153898 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00 2011 153898 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 2011 153898 TOTAL: $2005.47 $2005.44 $0.00 $0.00 $2005.47 $2005.441 2010 42184 ST SCH STATE SCHOOL $411.31 $411.31 $0.00 $0.00 $822.62 $0.001 2010 42184 CC -GEN COUNTY CLALLAM $218.88 $218.89 $0.00 $0.00 $437.77 $0.001 2010 42184 SD #121 SCHOOL DISTRICT #121 $532.76 $532.76 $0.00 $0.00 $1065.52 $0.00 2010 42184 CITY PORT ANG CITY OF PORT ANGELES $506.79 $506.79 $0.00 $0.00. $1013.58 $0.00 2010 42184 PORT PORT OF PORT ANGELES $30.76 $30.77 $0.00 $0.00 $61.53 $0.00 2010 42184 NTH OLY LIB NORTH OLYMPIC LIBRARY $63.60 $63.61 $0.00 $0.00 $127.21 $0.00 1 2010 42184 HOSP #2 HOSPITAL #2 $89.80 $89.79 $0.00 $0.00 $179.59 $0.00 2010 42184 WSMET PK DIST WILLIAM SHORE MET PARK DIST $28.57 $28.57 $0.00 $0.00 $57.14 $0.00 2010 42184 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 12010 42184 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 i 2010 42184 TOTAL: $1919.29 $1919.30 $0.00 $0.00 $3838.59 $0.00 http: /websrv8.clallam. net /propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =59284 5/19/2011 May.17.2011 11:37 AM Five SeaSuns Bed and Brea 1 360 452 8248 PAGE. 1/ 1 AFFORDABLE ROOK NO PROPOSAL 4 v 258663 Hwy 101 West ai Sequin. WA (360) 683 9619 .(360) 385 -2724 (360) 452-0840 N i r n e t it r A Phone #I. Z rte A ddress /2f9 ,ter Phone #2 C Ore i ,State /Ill" Zip Code L Tarp ho peril natcr to protect landscaping Remove old roofing and haul to landfill Install Plywood OSB A Install Roofing Fett Install s Thip Edge Metal Install Flashing Install Metal W- .Valleys Install Exhaust Vents Install Roof to Wall Flashing Install Ridge Vents Install Roof to Wail Step Flashing Install Attie Vents Cut In Cinnine Counter Flashing Install Sun Tube Install Chimney Step Flashing Install S Lights Install Skylight Flashing insesli Install Install Secure Locate Septic Drain Field Location Price Includes Building Permit Customer to Seethe Building Peatrvt D escription it i t 1 t y Payment in full upon completion of project, 6 unless other arrangements ar eptcd. SUBTO'T'AL s, .i L'� We propose hereby to furnish material ixi a labor, SALES TAX ;1.i 4 0, 36; complete in accordance with the above specifications. TOTAL: `C 0, 3 All material is guanauood to be as specified. My alteration or deviation faun tho above Note: this proposal may be withdrawn by us if specifications involving extra ousts will be excited only ripen written orders and Will not accepted within 30 days become an extra charge over and above the estimate. Ws aro not liable fbr preexisting defects caused by others. MI agreements oontingoat upon strikes, secidtats or delays beyond our onto!. Owner to carry fire, tornado attd other neeenaty insurance. A ceeptance of Pmposal dte above prices, specifications and conditions Brand a t )Q.,111.3 ()..rii(Year 3 C3 yr are satisfaetary and are hereby accepted. You are suthorkzed to do the Color Workmanship: work as spocifieci. Payment will! be made es outlined above. 10 Year Warranty DEPOSIT: 1) Lifetime Watmrunty A fFordable Roofing's Representative: -4(±_,. Dal= 5.7 f Customer's Signature orAcveptance: a «ar ,k Date: J Ste attached Warranty Statement, Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ROBERT /JANICE HARBICK 1006 S LINCOLN ST PORT ANGELES (360) 452 8248 Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983627826 15 00 00 15 00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5`h Street, Port Angeles, WA 98362 09 00000583 Date 6/15/09 038897 1006 S LINCOLN ST 06 30 00 0 3 2800 -0000 ROBERT /JANICE HARBICK FIRE ABANDON TANK INSPECTION RS7 RESDNTL SINGLE FAMILY 0 Application desc ABANDON 350 GAL HEATING OIL TANK UNDER BASEMENT BASE FEE Contractor Permit UNDERGROUND TANK RES Additional desc 350 GAL TANK UNDER HOME Permit pin number 148510 Permit Fee 15 00 Issue Date 6/15/09 Expiration Date 12/12/09 PETTIT OIL CO 638 MARINE DRIVE PORT ANGELES (360) 457 9404 Plan Check Fee Valuation Paid Credited 15 00 00 00 00 15 00 00 WA 98362 Due 00 00 00 00 0 Extension 15 00 I 11,( 6-4_ This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Signature ofContractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire inspections Please provide a minimum 24 -hour notice It is unlawful to cover or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS (n- t oci KI Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated Comments Completed by Contractor 2/15/00 O insulate LST W psi psi O 5 1 1 (9/2%2010) Linda P Re Final Fire Inspections Dates needed m Page 1 From Ken Dubuc To Linda Pangrle Date: 9/2/2010 4.31 PM Subject: Re Final Fire Inspections Dates needed Linda 3929 Solar lane was finaled on August 26, 2010 It is in HTE. (06 S Lincoln was done on 6.16.2009 Thanks, Ken Linda Pangrle 9/2/10 1.28 PM Hi Ken, Please give me the dates when you did your final fire inspections on these two permits, so I can 'final' the permits. #10 -263 3929 Solar Lane Fire sprinkler system #09 -583 1006 S. Lincoln St. Abandoned residential fuel tank Thanks, Linda 1 Abandonment of Residential Fuel Storage Tank 1,100 Gallons or Less (A' Application for Permit NI-0 011 u 1k do w©rl< C ?er «ti`conf) Please call the Fire Marshal's Office at 417 -4653 for assistance with the processing this permit. Site Address /jO( Name of Applicant: Address. /g-a‘ S. L Site Owner Permits are issued at the City of Port Angeles Permits Counter located at City Hall, 321 E 5` Port Angeles, WA. Permit fee $15 00 paid to the City of Port Angeles Fire Department. Date paid. Date Issued. Date Issued. Issued by Additional Comments I have read and understand], e requirements of this application. Applicant's Signature PORT ANGELES FIRE DEPARTMENT X �do. .4./ ,e G/ Date: Telephone: Telephone: /ro "rss -j FP 25 A (Revised 12/9/04) Page 1 of 3 Section I Required Information Applicant is required to furnish the following information on the space provided on the next page 1 A site plan showing the number size, and location of the underground storage tank with reference to the existing home. 2 Specify the type of liquid which was stored in the tank. p/ Section II Requirements and Limitations Issuance of a permit is subject to compliance with the listed requirements and approval by a field inspection of the Port Angeles Fire Department. Residential underground storage tanks may be abandon in place or removed. 1 There shall be no welding, cutting, or other sources of ignition in the area while abandoning operations are in progress. Welding or cutting on tanks require a separate permit from, the Port Angeles Fire Department. 2 Removal of all flammable and combustible liquids from the tank and all connecting lines shall be pumped out. Please use a hand pump or other means to remove remaining flammable or combustible liquids as far as practical. 3 If the tank is removed and stored on site temporarily, the tank shall be placed in a secure location and blocked to prevent movement. The tank would be required to be inerted pnor to being transported. The hole created by removing the tank shall be filled with a suitable matenal (earth, sand, etc 4 There are three options for the abandonment of residential fuel storage tanks. All three options require that the tank is first completely pumped out. Option #1 The tank and all associated fill and vent piping can be removed completely This is generally the best method, however it is also the most expensive. Option #2 The tank fill and vent pipes are removed, then the tank is filled completely with an inert mixture such as a sand slurry If Option #1 (complete removal) is not chosen, then this method is REQUIRED if the tank is within 5 feet of a property line, dnveway sidewalk, swimming pool, deck or building foundation. ton The tank fill and vent pipes are removed below grade and capped. The tank is leftin place If using this method, the applicant must read, understand and sign the following statement: Applicant Signature "In using this method, I understand that the void created by the tank may cause a collapse of the adjacent ground if the tank rusts out over time." Date F FP 25 A (Revised 12/9/04) Page 2 of 3 I f .r r 1 60 v-- Site Diagram To be completed by Fire Department Method of abandonment: Tank removed Tank filled with inert mixture (c Tank vent and fill lines capped below grade I FP 25 A (Revised 12/9104) Page 3 of 3 5e ~""" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 11/05/96 Permit No: 5715 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ ROBERT HARBICK 1006 LINCOLN S 1006 S. LINCOLN Lot: l,2,29.5'LOT3 Port Angeles, WA 98362 Block: 328 Long Legal: 360/452-8248 Sub: TPA T: S: Pare No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUS Port A.ngeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES.GARAGE prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electrical Heat X Ba.seboard KW: FU,rnace KW: He.at Pump KW: Fa.n/Wall KW: 3 o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service size: Feeder size: o -1 -3 o AMPS 100 AMPS PROJECT NOTES----------------------------------------------------------------___ WIRE GARAGE AND UPSTAIRS LIVING AREA PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $40.00 Circuit wiring: $0.00 Temp Service: $0.00 $0.00 Mise TOTAL FEE: Amount Paid: $40.00 $40.00 --------------------------------- --------------------------------- TOTAL FEE: $40.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO DiTCH , RnTTr.l-l_lN I \"UVCK /11S79~ 17'~ SERVICE FINAl I I I GENERAL COMMENTS: PW-II02.l~14I96) I I , . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMITND. Sc201 K/,//P..> DATE ELECTRICAL PERMIT Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW :@'. RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION ~. REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER ~. OVERHEAD SERVICE o UNDERGROU'hSERVICE VOLTAGE: ~ yo )lIq5 03 SERVICE SIZE.:::J&o AMPS FEEDER SIZE AMPS DetailslDescription: ~:p~ 1!;- 6rk-sJ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGA. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER ~itch Inspection O.K. o Rough-in/cover O.K. / .,0 D.K.to connect service /if"~Final O.K. Installer: New Meters . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permjt..PHONE 457-0411, EXT. 224. --r ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I' .;:3..D Elec1ricallnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC Application Number . . Application pin number . . Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning , , . . , . . Application valuation , . , . ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 15- 00001473 Date 11/23/15 262173 1006 S LINCOLN ST 06 -30 00-0-3- 2800 -0000- ELECTRICAL ONLY R97 RESDNTL SINGLE FAMILY 0 Owner Contractor ROBERT AND JANICE HARBICK SIMPSON ELECTRIC 1006 S LINCOLN ST 243036 W HWY 101 PORT ANGELES WA 983627826 PORT ANGELES WA 98363 (360) 457 -9270 Permit , . . , , . ELECTRTCAL ALTER RESIDENTIAL Additional desc . . DRYER CIRCUIT Permit Fee , . . . 75,00 Plan Check Fee 00 Issue Date . , . . 11/2.3/15 valuation . , . . 0 Expiration Date . , 5/21/16 Qty Unit Charge Per Extension BASE FEE 75.00 Fee summary Charged Paid Credited Due - ---------- - - ---- ---- - -- - -- ---- - - -- -- ---- - - - --- ---- - - - - -- Permit Fee Tctal 75.00 75,00 .00 .00 Plan Check Total .00 ,00 .00 .00 Grand Total 75,00 75,00 00 00 INSPECTION TYPE 11 DATE: RESULTS: INSPECTOR: DITCH REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) ROUGH -IN INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN f 3 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM. LAST INSPECTION Sigaa.ature of owner or EIectrical Contractor X Date: GAEXCHANGE1BUILDING CITY OF PORT ANGELES PERMIT APPLICATION noilding Mvisiron/Electrical Inspections 321 I'Jnst Fifth Street —P,O. Rox 11501 Port Angeles Washirpgton, 98362 )Ph: (360) 417 -4735 Fax: (360) 41.7 -47711 Date'. �! / .. -/...' Plan Review May Be Job Address:, 8uild'mg Square Fooll _ Description of above je i & 2 Single Family Dwelling mplete Electriaq Plan owner Info�-r anon owner l 4- Al Contractot Information CAqj � L� tr Name: i Mailing Addrasa: 44 , ,,5 e, .._ Nom Will Address: cx r. – City; Stet®: U211— Zip: f1� Cih+' m�F�State: 0 phone' Fax: Fax: a License 01 Exp.. �� q' --� License 01 Ex . p dl5r/rr�S Sl ,� maa. Cervr Item Unit Charge Q�[t Total Mutt) @lied bY,Urtit- ServIcelFssder 200 Amp. $120.00 -- Service/Feeder 201.400 Amp. $146.00 $--- Service/Feeder 401 -600 Amp $ 205.00 -----� °^° $–�-- Ssrvice/Feeder 601 -1000 Amp. $ 262,00 ServicelFeeder over 1000 Amp, $ 373,00 — $ Branch Circuit W! Service Feeder $ 5,00 - -- - $ Branch Circuit W10 Service Feeder $ 63.00 -.-- $�- Each Additional Branch Circult $ 5,00 •�/, —_-� Ir Branch Circuits 1-4 $ 75,00 Temp. Servicel Feeder 200 Amp. $ 93.00 -- $ Temp. ServicelFacdor 201400 Amp. $110.00 =... . $ Temp. Service/Feeder401.600 Amp. $149,00 -- $. Temp. senvice/Feeder 6ol -1000 Amp . $166,00 Portal to Portal Hourly $ 96.00 $ - •� Signal CircuiU Limited Energy -1 & 2 Family Dwelling $ 64.00 — Manufactured Home Connectian $120.00 -- $ Renewable Electrical Energy - 5KVA System or Lass $102,00 — Thermostat a 56.00 --- Note: $5,00 for each additional TStat NEW CON U d 0 First 1300 Square FL $120.00 �--- Each Additional 500 Square Ft. or Porlion of $ 44.00 Each Outbuilding or Detached Garage $ 74.00 $ - Each Swimming Pon] or Hot Tub $110,00 $ $—q5--a 'T–Total Owner as defined by RCW_19,28.261; �1) Owner will occupy the structure for two yeers after this elechical permit is finalized, (2) Owner is required to hire on electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of lest inspectie ii. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical c rtractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.P.C., RCW, Chapter 19.28, WAC_ Chapter 296 469, The City of Port Angeles Municipal Code, and Util'dy Specifications and PAMC 14.05.050 regarding Electrical Permit Applicaticns, Si ut of owner, etecWc ontractor or electrical administrator: [a Cash i :1 check n credltCard# J�L All 01mi012 ELECTRICAL INSPECTION �'�' olp ri WIRING REPORT 417-4735 cW�RKS N� pA I 0— d r ; If —7 � INSPEGTO CONTRACTOR APPRE APPROVED l EI ..... ...............DITCH........... 0 ................ ROUGH IN /COVER ............ E1 ..... . .............. SERVICE ................... C7 0 ............... ......FINAL.................... CORRECTIONS NEEDED: �� pl 1 lJi,7� l•�gt z%���}�pvL y � NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE --- ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 16- 00000120 Date 1/27/16 Application pin number 688480 RESULTS: Property Address . . . 1006 S LINCOLN ST DITCH ASSESSOR PARCEL NUMBEk: 06-30-00-0-.3- 2800 -0000 Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . , . . , . . . Property Zoning . . . . . . RS7 RESDNTL ,SINGLE FAMILY Application valuation . . . . 0 Application desc Check homeowner work in bath z Owner Contractor ---- ------------ -- - - - - -- ----------------- ROBERT AND JANICE HARBICK SIMPSON ELECTRIC - - -- - -- 1006 S LINCOLN ST 243036 W HWY 101 COMMENTS: PORT ANGELES WA 983627826 PORT ANGELES WA 98363 (360) 457 -9270 Permit , , , . , , ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75,00 Plan Check Fee 09 Issue Date 1/27/16 valuation 0 Expiration Date 7/25/16 Qty Unit Charge Per Extension BASE FEE 7.5.00 ---------------------------------------------------------------------•------- Fee summary Charged Paid Credited - -- - - - --- - - - - -- Due ---- - - - - -- --------- -- - - - - -- ---- - - - ---- - -- - Permit Fee Total 75.00 75.00 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 75100 75.00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN z FINAL .1 r7 �qA COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date GA EXCHANGGISUILDING : CITY or P°oRTANGELES P'LR1triIT APFLICATION Snili DivWooMectr ical Inspections 321 Last Fifth Street: -- IP,Q_ Box 1 150 / Poirt A.ngeltcs Washington, 98362 Ph. (360) 417 -4735 Fags (360) 41.7 -4711 X1 & 2 Single Family Dwelling " Plan Review May Be *Wiredg PrIe se Complete Electri i PIS evieW Information Sheet Job Address: Building Square Foolaga; bmulption of above a . •.. -- Owner Information ' Contrea r informedon Name Name: S D malltng dd s: — _.f_,_ — Marling ddress; City: Strata:— &"&:�.Tj p City w $cafe,; Zip; Phone; �, jr License 0 1 Exp, fwicense �f 1e Fax; Item U. nit t Charge Qty Total iC!,y Multi Aled by Unit whaler ServiWFeeder 200 Amp. $120.00 $ _ Service/Feedar 201 -400 Amp. 3 146,00 �� $ Service/Feeder 409.600 Amp $ 705.00 � Service/Feeder 601 -1000 Amp. $ 262,00 $ Service/Feeder over 1000 Amp. $ 373.00 8 Branch Cli cult Wi Service Feeder $ 5,00 Branch Circuit VVIO Service Feeder $ 63.00 $ mm Each Additional Branch Circuit $ 5.00 $ _ Branch Circub 1-4 $ 75.00 ✓ �i Temp. Sefviee! Fe der 200 Amp, $ 95,00 $� Temp, Service/Feedw201A00Amp. $ 310.00 �� $ Temp. Servicel�ee ar 401.600 Amp. $149,00 $ — Temp, SeruicelFeeder 501 -1000 Amp. $168.00 T $_ Partai to Portal Hourly $ 98.00 — $ Signal Ciro* Umli Energy - I & 2 Family Dwelling $ 64,00 $ Marrufactured Home Connection. $120.00 $ — Renewable Electrical Energy • 5KVA System or Less $102.00 $ ThermWal $ 56.00 $ Nate: $5.00 fcr each additional T-Stat 05 0 [ON OHM, First 1300 Square l=t, $120.00 $ Each Additional 500 Square FL or Portion of S 40,00 m m Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming fool or Hot Tub $110.00m $ _- $_?_�, 02) -Total Owner as defined by RCW ;19,28.261: (1) Owner will Crimpy than structure for two years affiar this electrical permit is finaGxed.' (, !) Owner is requited to hire an electrical contractor if sbove said property is for sale, rent or lease, Permit expires after six months of last inspectir3n. After reading time above statement, l hereby certify that i am the owner of the above named property Cr a licensed electrical can tractor. I am making the electt'icai installation or alteration in Compliance with the electrical laws, NE.C., RCW_ Chapter 19.28, WAC. Chapter 296-4)'13, The City of Port Angeles Municipal Code, and utility SpeCr offlions and PAMC 14.05,050 regarding Electrical Parmit Applications. Sig of owner, electrical o tractor or electrical administrator: ❑ Caob © Check ~ Ctedit Card # .. `I — � `1h N